腿部到腹部在床边道化,用于中长期的静脉接入
Matt Ostroff1, Hossam Elzomor2, Toni Anne Weite1
1Saint Josephs Regional Medical Center, Paterson, NJ, USA.
The journal of vascular access
|May 6, 2024
概括
腿部到腹部的道提供了一个安全的,最少侵入性的床边选择,用于中央静脉接入. 这种技术为患有复杂静脉接入需求的患者提供了替代的出口点.
科学领域:
- 血管接入程序 血管接入程序
- 最少侵入性的技术
- 患者护理 患者护理
背景情况:
- 中心静脉导管对于长期的静脉注射治疗至关重要.
- 对某些患者来说,胸腔静脉方法可能是禁忌或不理想的.
- 对于复杂的静脉接入病例,需要替代的导管输出点.
研究的目的:
- 评估股骨到腹部道的安全性和有效性,以获得中央静脉通道.
- 评估这种技术作为胸部或下肢部位的替代方案的可行性.
- 报告需要中长期静脉注射治疗的患者的结果.
主要方法:
- 一个回顾性病例系列的患者经历了大腿到腹部道道用于中央静脉接入.
- 所有插入都使用了超声波指导和局部麻醉.
- 导管尖端的位置通过手术后的X射线检查得到证实.
主要成果:
- 在2020年1月至2023年1月期间,插入了8个从股骨到腹部通道的静脉接入装置.
- 在本系列中没有报告插入或插入后并发症.
- 平均停留时间为125天,大多数患者成功完成治疗.
结论:
- 腿部到腹部的道是安全的和最少侵入性的床边手术.
- 这种技术为具有复杂静脉注射接入需求的患者提供了有价值的替代出口点.
- 进一步的研究可以探索更广泛的应用和长期结果.
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